DOI QR코드

DOI QR Code

Relationship Between Strength of Hip Muscles and Performance of Close Kinetic Chain Dynamic Lower Extremity Stability Test

  • Lee, Hyeon-ju (Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Hwang, Ui-jae (Department of Physical Therapy, College of Health Science, Yonsei University) ;
  • Jung, Sung-hoon (Department of Physical Therapy, College of Health Science, Yonsei University) ;
  • Ahn, Sun-hee (Department of Physical Therapy, College of Health Science, Yonsei University) ;
  • Kwon, Oh-yun (Department of Physical Therapy, College of Health Science, Yonsei University)
  • Received : 2020.10.08
  • Accepted : 2020.10.27
  • Published : 2020.11.20

Abstract

Background: The hip muscle plays various roles. Several types of functional performance tests are used for the assessment of patients with various lower extremity injuries. Hip muscle functions are important to test the performance of maintaining the spine, pelvic, and leg during bridging exercise. We designed a novel functional performance test tool, which we named close kinetic chain dynamic lower extremity stability (CKCLE) test to assess hip muscle functions. Objects: The purpose of this study was to determine the relationship between CKCLE test and hip extensor, external rotator, and abductor strengths. Methods: Twenty-two subjects were recruited in the present study (13 males and 9 females). The hip extensor, external rotator, and abductor muscle strengths were measured using a Smart KEMA strength sensor. When the examiner said "Go", the subject performed the CKCLE test by moving one leg from the floor and touching the opposite knee and then return to the floor while maintaining the bridging position. The subjects attempted as many "touches" as possible in the allotted time (20 seconds) during the maximal tests. The correlation between the hip muscle (extensor, external rotator, and abductor) strength of the supporting leg and the number of CKCLE tests performed in 20 seconds was determined using the Pearson correlation. Results: Hip extensor (r = 0.626, p < 0.05), hip external rotator (r = 0.616, p < 0.05), and hip abductor muscle strengths (r = 0.475, p < 0.05) positively correlated with the number of CKCLE tests performed. Conclusion: We designed a CKCLE test and found that performance in the test correlated with hip extensor, external rotator, and abductor muscle strengths. The result suggests that the CKCLE test can be applied as a performance test to assess the functions of the hip extensor, external rotator, and hip abductor muscles.

Keywords

References

  1. Cichanowski HR, Schmitt JS, Johnson RJ, Niemuth PE. Hip strength in collegiate female athletes with patellofemoral pain. Med Sci Sports Exerc 2007;39(8):1227-32. https://doi.org/10.1249/mss.0b013e3180601109
  2. Lehecka BJ, Edwards M, Haverkamp R, Martin L, Porter K, Thach K, et al. Building a better gluteal bridge: electromyographic analysis of hip muscle activity during modified singleleg bridges. Int J Sports Phys Ther 2017;12(4):543-9.
  3. Ferber R, Noehren B, Hamill J, Davis IS. Competitive female runners with a history of iliotibial band syndrome demonstrate atypical hip and knee kinematics. J Orthop Sports Phys Ther 2010;40(2):52-8. https://doi.org/10.2519/jospt.2010.3028
  4. Augustsson J, Thomee R. Ability of closed and open kinetic chain tests of muscular strength to assess functional performance. Scand J Med Sci Sports 2000;10(3):164-8. https://doi.org/10.1034/j.1600-0838.2000.010003164.x
  5. Kivlan BR, Carcia CR, Clemente FR, Phelps AL, Martin RL. Reliability and validity of functional performance tests in dancers with hip dysfunction. Int J Sports Phys Ther 2013;8(4):360-9.
  6. Kivlan BR, Martin RL. Functional performance testing of the hip in athletes: a systematic review for reliability and validity. Int J Sports Phys Ther 2012;7(4):402-12.
  7. Freckleton G, Cook J, Pizzari T. The predictive validity of a single leg bridge test for hamstring injuries in Australian Rules Football Players. Br J Sports Med 2014;48(8):713-7. https://doi.org/10.1136/bjsports-2013-092356
  8. Goldbeck TG, Davies GJ. Test-retest reliability of the closed kinetic chain upper extremity stability test: a clinical field test. J Sport Rehabil 2000;9(1):35-45. https://doi.org/10.1123/jsr.9.1.35
  9. Selkowitz DM, Beneck GJ, Powers CM. Which exercises target the gluteal muscles while minimizing activation of the tensor fascia lata? Electromyographic assessment using fine-wire electrodes. J Orthop Sports Phys Ther 2013;43(2):54-64. https://doi.org/10.2519/jospt.2013.4116
  10. Greenberger HB, Paterno MV. Relationship of knee extensor strength and hopping test performance in the assessment of lower extremity function. J Orthop Sports Phys Ther 1995;22(5):202-6. https://doi.org/10.2519/jospt.1995.22.5.202
  11. Mukaka MM. A guide to appropriate use of Correlation coefficient in medical research. Malawi Med J 2012;24(3):69-71.
  12. Ahn SH, Hwang UJ, Jung SH, Kim HA, Kim JH, Kwon OY. Hip external rotator strength and compensatory movement in three different positions. Health 2018;10(1):132-44. https://doi.org/10.4236/health.2018.101011
  13. Hubbard TJ, Kramer LC, Denegar CR, Hertel J. Correlations among multiple measures of functional and mechanical instability in subjects with chronic ankle instability. J Athl Train 2007;42(3):361-6.
  14. Kang MH, Kim GM, Kwon OY, Weon JH, Oh JS, An DH. Relationship between the kinematics of the trunk and lower extremity and performance on the Y-balance test. PM R 2015;7(11):1152-8. https://doi.org/10.1016/j.pmrj.2015.05.004
  15. Robinson R, Gribble P. Kinematic predictors of performance on the Star Excursion Balance Test. J Sport Rehabil 2008;17(4):347-57. https://doi.org/10.1123/jsr.17.4.347